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Diabetisource AC Patient assistance program

Is your Diabetisource AC medication too expensive? Start receiving your medication for only $49 per month.*

Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Diabetisource AC medication with our help.

Get started today
  • Secure: Your personal and medical information is safe with us
  • Convenient: We manage the whole process and we’re here to assist you
  • Ongoing refills: We request your medication refills on your behalf
  • Secure: Your personal and medical information is safe with us
  • Convenient: We manage the whole process and we’re here to assist you
  • Ongoing refills: We request your medication refills on your behalf

NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.

An introduction to NiceRx

Play video (01:52)
  • An introduction to NiceRx
    (01:52)
  • Next steps after qualifying
    (00:38)
  • Uploading documents and billing
    (00:50)
  • SSN & billing information
    (00:33)
  • Medication delivery time
    (00:41)

How it works

  • Apply Online

    Get started by filling out the online enrollment application to find out if you are eligible.

  • Qualification

    NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified. The pharmaceutical company provides your medication for free and you only pay our service fee.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    Your application is created and sent to your doctor for signature. At this stage, you will be billed $49 and will not be billed again until you receive your first medication delivery.

  • Receive Medication

    Your application is sent to the pharmaceutical company. You will be billed again once you receive your medication. We handle the entire ordering process including requesting ongoing refills.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Diabetisource AC cost savings if eligible

If you are eligible to receive your Diabetisource AC prescription through the patient assistance program, your medication will be free. We charge a flat monthly service fee of $49 per medication to cover the cost of our services.

Am I eligible for Diabetisource AC patient assistance?

To be eligible for the Diabetisource AC patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Diabetisource AC enrollment application individually. The main factors considered are:

  • I am a permanent, legal resident of the United States or Puerto Rico
  • I am uninsured or my insurance doesn’t cover my medication
  • I meet certain income eligibility requirements

How do I apply for the Diabetisource AC patient assistance program?

Applying for the Diabetisource AC patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Diabetisource AC, so please tell us about any medications that you have been prescribed.

If we determine that you may be eligible for Diabetisource AC assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Diabetisource AC patient assistance program, we will also request your Diabetisource AC medication refills on your behalf for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.

Is NiceRx a Diabetisource AC coupon provider?

NiceRx does not provide Diabetisource AC coupons, discount cards or copay cards. We do not offer printable Diabetisource AC manufacturer coupons, Diabetisource AC discounts, rebates, Diabetisource AC savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Diabetisource AC medication with NiceRx.

Can NiceRx help me get Diabetisource AC cheaper if I have insurance?

NiceRx may be able to help you access Diabetisource AC patient assistance if:

  • You have a high copay or coinsurance responsibility for Diabetisource AC
  • Your insurance company will not pay for your Diabetisource AC prescription
  • You do not have insurance

Complete your enrollment application online to find out more.

How much does Diabetisource AC cost without insurance?

Diabetisource AC prices without insurance will vary by retailer. As a guide, Diabetisource AC will typically cost around $450 for 120, 250 mL of liquid.

How much does Diabetisource AC cost with insurance?

Your individual healthcare plan will determine the copay of Diabetisource AC with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.

What is Diabetisource AC?

Diabetisource AC is manufactured by Nestle Healthcare Nutrition. It is made from a unique carbohydrate blend that includes pureed fruits and vegetables to help with the nutritional management of blood glucose in patients with diabetes or stress-induced hyperglycemia. Diabetisource AC:

  • Contains supplemental L-arginine which may help support wound management
  • Meets the ADA dietary recommendation for the inclusion of omega-3 fatty acids
  • Provides nutritional support for people with diabetes, glucose intolerance, stress-induced hyperglycemia, or diabetes with wounds
  • Is suitable for lactose-free and gluten-free diets
  • Does not contain sugar alcohol
  • Does not contain milk protein and may be suitable for cow’s milk protein allergy
  • Is to be used under medical supervision
  • Is for tube-feeding only, and not for IV use

What doses of Diabetisource AC are available?

Diabetisource AC is available as advanced control tube feeding formula, unflavored 8.45 oz cartons, 1.2 kcal/mL.

Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.

Diabetisource AC active ingredients

Water, Corn Syrup, Soy Protein Isolate, Canola Oil, Green Pea and Green Bean Puree (Water, Dehydrated Peas and Green Beans), and Less than 2% of Fructose, Peach Puree (Water, Peach Puree Concentrate), Tapioca Dextrin, Fructooligosaccharides (Soluble Fiber), Orange Juice (from Concentrate), Refined Fish Oil (Anchovy, Sardine), Partially Hydrolyzed Guar Gum (Soluble Fiber), L-Arginine, Potassium Citrate, Soy Fiber (Insoluble Fiber), Calcium Phosphate, Citric Acid, Sodium Citrate, Sodium Ascorbate, Inositol, Choline Chloride, Salt, Maltodextrin, Magnesium Oxide, Magnesium Phosphate, Polysorbate 80, L-Carnitine, Taurine, DL-Alpha Tocopherols Acetate, Zinc Sulfate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Vitamin A Palmitate, Manganese Sulfate, Copper Gluconate, Vitamin D3, Pyridoxine Hydrochloride, Riboflavin, Thiamine Hydrochloride, Beta-Carotene, Chromium Chloride, Folic Acid, Biotin, Potassium Iodide, Sodium Selenite, Sodium Molybdate, Vitamin K1, Vitamin E, Vitamin C, Vitamin B12

Diabetisource AC side effects

Your doctor will assess the benefits of using Diabetisource AC against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Diabetisource AC to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Diabetisource AC drug interactions

Other drugs may interact with Diabetisource AC, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medication including any supplements you are taking.

Diabetisource AC contraindications

You should not use Diabetisource AC if you:

  • Are allergic to the active ingredients in Diabetisource AC
  • Are allergic to any of the other ingredients in Diabetisource AC

Talk to your doctor before using Diabetisource AC if you:

  • Are taking any of the medications that could interact with Diabetisource AC

Diabetisource AC generic

Diabetisource AC is manufactured by Nestle Healthcare Nutrition. A generic version of Diabetisource AC is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Diabetisource AC savings through NiceRx.eRx.

*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking down the different programs and filling out all the required paperwork for each program.

Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.

**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (“Refund”).

To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.

The content on this website is intended for information purposes only. It does not constitute medical advice. The information on this website should not be relied upon and is not a substitute for professional medical advice. You should always speak to your doctor regarding the risks and benefits of any treatment.